Stephanie Lyle, FNP is a medicare enrolled "Nurse Practitioner - Family" in Mineral Ridge, Ohio. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is
3379 Main St, Mineral Ridge, Ohio. You can reach out to her office (for appointments etc.) via phone at
(330) 222-3861.
Stephanie Lyle is licensed to practice in Ohio (license number 0027457) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1497299945.
Provider's Profile
| Full Name | Stephanie Lyle |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 8 Years |
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| Location | 3379 Main St, Mineral Ridge, Ohio |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Stephanie Lyle graduated from nursing school in 2016
NPI Data:
- NPI Number: 1497299945
- Provider Enumeration Date: 12/16/2016
- Last Update Date: 07/21/2021
Medicare PECOS Information:
- PECOS PAC ID: 5991080681
- Enrollment ID: I20210421000588
Medical Identifiers
Medical identifiers for Stephanie Lyle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1497299945 | NPI | - | NPPES |
| 1497299945 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 95005570 (California) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 0027457 (Ohio) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Stephanie Lyle allows following entities to bill medicare on her behalf.
| Entity Name | Thompson Enterprises Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497128367
PECOS PAC ID: 2264718188
Enrollment ID: O20170407000946 |
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| Entity Name | Venvisor Health Ohio Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1841827938
PECOS PAC ID: 1456780824
Enrollment ID: O20200406002340 |
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| Entity Name | Bios Wellness Clinic Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1730775511
PECOS PAC ID: 7214306323
Enrollment ID: O20221213000695 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stephanie Lyle is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Stephanie Lyle, FNP
545 Metro Pl S Ste 100,
Dublin, OH 43017-5353
Ph: (630) 345-2943 | Stephanie Lyle, FNP
3379 Main St,
Mineral Ridge, OH 44440-8800
Ph: (330) 222-3861 |
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